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Dutch multidisciplinary guideline on Achilles tendinopathy
Robert-Jan de Vos1, Arco C van der Vlist2, Johannes Zwerver3,4
1Department of Orthopaedics and Sports Medicine, Erasmus MC University Medical Centre, Rotterdam, The Netherlands r.devos@erasmusmc.nl.
British Journal of Sports Medicine
|June 30, 2021
Summary
This Dutch guideline offers evidence-based recommendations for Achilles tendinopathy management. It covers risk factors, prevention, diagnosis, imaging, treatment, and prognosis for healthcare providers and patients.
Area of Science:
- Orthopedics
- Sports Medicine
- Rehabilitation
Background:
- Achilles tendinopathy is a common condition affecting athletes and the general population.
- Current management strategies vary, necessitating evidence-based guidance.
Purpose of the Study:
- To develop a comprehensive, evidence-based guideline for Achilles tendinopathy.
- To provide clinical recommendations for healthcare practitioners and patients on risk factors, prevention, diagnosis, imaging, treatment, and prognosis.
Main Methods:
- A multidisciplinary guideline process involving patients, healthcare providers, and stakeholders.
- Systematic literature searches of multiple databases and existing guidelines up to May 2019.
- Data extraction, risk of bias assessment, and application of the Grading of Recommendations Assessment, Development and Evaluation (GRADE) method.
Main Results:
- Six modules were completed: risk factors and primary prevention, diagnosis, imaging, treatment, prognosis, and secondary prevention.
- Evidence-based recommendations were formulated for each module.
Conclusions:
- The guideline provides a comprehensive, evidence-based framework for managing Achilles tendinopathy.
- It aims to assist healthcare providers and patients in clinical decision-making and practice.
